| NPI | 1679892632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22935) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV 6015) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2013-01-07 |